AIC Online form
AGENT REFERENCE CHECK
Prospective Agent Name
(Required)
Prospective Agency name
(Required)
Referee Details
Referee Name
(Required)
Referee Position
(Required)
Organization Name
(Required)
Phone
(Required)
Email
(Required)
Agent Background information
How do you find the quality of applications being submitted by this agent?
(Required)
Excellent
Good
Fair
Unsatisfied
How long has this agent represented your institution?
(Required)
Less than 1 Year
1 to 3 Year
3+ Year
Marketing and Recruitment
How many students has the agent directed to your organization over the last year?
(Required)
None
1 to 10
11 to 25
26+
How do you find the quality of the documentation?
(Required)
Excellent
Good
Fair
Unsatisfied
How do you rate their performance so far?
(Required)
Excellent
Good
Fair
Unsatisfied
How cooperative and supportive is this agent with post enrolment issues & problems?
(Required)
Excellent
Good
Fair
Unsatisfied
How would you rate your satisfaction with this agent?
(Required)
Excellent
Good
Fair
Unsatisfied
What were you satisfied / unsatisfied with this agent?
Do you have any further comments about this agent?
Do you agree that the information provided is true and correct
(Required)
I consent that the all of the information provided are all accurate up to my knowledge.
Signature
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Name
(Required)
Date
(Required)
DD slash MM slash YYYY
Name
This field is for validation purposes and should be left unchanged.
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